GENESIS ASSISTED LIVING LLC
NPI 1215635198
Assisted Living Facility in Shakopee, MN
About Genesis Assisted Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENESIS ASSISTED LIVING LLC (NPI 1215635198) is a healthcare organization registered as an assisted living facility in Shakopee, Minnesota and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Joan Misoi, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2286965
Genesis Assisted Living LLC · Shakopee, MNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Genesis Assisted Living LLC's NPI number?
The NPI number for Genesis Assisted Living LLC is 1215635198. It was assigned to this organization in the NPPES registry on February 20, 2023.
Where is Genesis Assisted Living LLC located?
Genesis Assisted Living LLC is located at 1019 Madison St S, Shakopee, MN 55379. The listed phone number is (952) 600-7337.
What is Genesis Assisted Living LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Genesis Assisted Living LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2286965) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Genesis Assisted Living LLC was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Genesis Assisted Living Llc · NPI 1215635198
Assisted Living Facility organization in Shakopee, Minnesota. Organization record, active in the CMS NPPES registry since February 20, 2023.
## Identity
- **NPI:** 1215635198 (Entity type: Organization)
- **Enumerated:** February 20, 2023
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Joan Misoi, MANAGER
## Practice location
- **Address:** 1019 MADISON ST S, Shakopee, MN 55379-2056
- **Phone:** (952) 600-7337
## Record status
- **NPPES last updated:** April 17, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215635198) · Data from the CMS NPPES public registry.